Stoke Megacode Scenario Simulation

A 78 y/o M presents with acute onset of left arm and leg weakness which started 1 hour prior to arrival.

Your exam reveals male, appearing his stated age with the following vitals: T 36.9 / P 101 / BP 190/100 / RR 18 / O₂ 100%.

Your exam reveals left sided arm and leg hemiparesis.
1. What bedside test is imperative to evaluate for easily reversible cause of symptoms?*
- Blood pressure
- Blood sugar
- Reflexes
- Visual acuity

Blood sugar is wnl. Patient is brought promptly to CT scan, which is negative for intra-cranial hemorrhage.

You are concerned for ischemic stroke and are considering administration of TPA.
2. Which of the following are absolute contraindications for administration of TPA?*
- Minor, resolving symptoms
- Symptom onset within the last 3 hours
- Platelet count less than 150,000
- Stroke in the last 3 months

3. The expectation of time to evaluation, time to CT scan, time to CT read, and time to diagnosis in an acute ischemic stroke is?*
- 10 minutes to assess, 25 minutes to CT scan, 45 minutes to CT read, 60 minutes to diagnosis
- 25 minutes to assess, 45 minutes to CT scan, 60 minutes to CT read, 70 minutes to diagnosis
- 15 minutes to assess, 25 minutes to CT scan, 60 minutes to CT read, 80 minutes to diagnosis
- 10 minutes to assess, 30 minutes to CT scan, 45 minutes to CT read, 90 minutes to diagnosis

ACLS Megacode 5: Stroke